The effect of self-efficacy expectations in the adherence to a gluten free diet in celiac disease

被引:16
作者
Fueyo-Diaz, Ricardo [1 ,2 ,3 ,4 ]
Magallon-Botaya, Rosa [3 ,4 ,5 ]
Gascon-Santos, Santiago [1 ,2 ]
Asensio-Martinez, Angela [1 ,2 ,3 ,4 ]
Palacios-Navarro, Guillermo [6 ]
Sebastian-Domingo, Juan J. [2 ,5 ,7 ]
机构
[1] Univ Zaragoza, Dept Psychol & Sociol, Zaragoza 50009, Spain
[2] Aragon Inst Hlth Sci IACS, Zaragoza, Spain
[3] Grp B21 17R, Aragon Hlth Res Inst IISA, Zaragoza, Spain
[4] Inst Hlth Carlos III, RediAPP Primary Care Prevent & Promot Network RD1, Madrid, Spain
[5] Univ Zaragoza, Dept Med, Zaragoza, Spain
[6] Univ Zaragoza, Dept Elect Engn & Commun, Zaragoza, Spain
[7] Hosp Royo Villanova, Dept Digest Dis, Zaragoza, Spain
关键词
celiac disease; self-efficacy; adherence to GFD; perceived life quality; QUALITY-OF-LIFE; MANAGEMENT; ADULTS; BEHAVIOR; VALIDATION; DIAGNOSIS; QUESTIONNAIRE; ADAPTATION; PREVALENCE; MOTIVATION;
D O I
10.1080/08870446.2019.1675658
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To analyse the effect of general and specific self-efficacy on the adherence to a gluten free diet (GFD) in patients with celiac disease along with the effect of other relevant variables.Design: 271 patients with celiac disease participated in this transversal descriptive study and completed a series of questionnaires regarding adherence (CDAT), general self-efficacy (GSES) and specific self-efficacy (Celiac-SE) and quality of life (CD-Qol), among others.Main Outcome Measures: Dependent variable was adherence to the Gluten Free Diet (GFD). Main independent variables were general self-efficacy, specific self-efficacy and quality of life. Model tests were conducted using regression analysis.Results: 71.9% of patients show an excellent or good adherence to the diet. Higher levels of adherence are positively associated to a high expectancy of specific self-efficacy, to the perceived adoption of recommended behaviours, risk perception and better quality of life (these variables accounted for 36.4% of the variance in the adherence to a GFD, p<.001).Conclusions: Specific self-efficacy rather than general has a predictive value in adherence to a GFD. Therefore, we need to develop and transculturally adapt new instruments to assess specific self-efficacy. Celiac-SE has proved to be a useful scale for this objective.
引用
收藏
页码:734 / 749
页数:16
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